ICD-10 Coding for Petechiae(R23.3, D69.3, I61.8)
Complete ICD-10-CM coding and documentation guide for Petechiae. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Petechiae
R23.3Primary Range
Spontaneous ecchymoses, including petechiae
Primary code for isolated petechiae without underlying coagulopathy or thrombocytopenia.
Thrombocytopenia and other hemorrhagic conditions
Used when petechiae are associated with thrombocytopenia or other hemorrhagic conditions.
Cerebral hemorrhage, including petechial hemorrhage
Used for cerebral petechial hemorrhage, particularly in stroke cases.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R23.3 | Spontaneous ecchymoses | Use for isolated petechiae without underlying conditions. |
|
| D69.3 | Immune thrombocytopenic purpura | Use when petechiae are associated with low platelet count and no known cause. |
|
| I61.8 | Other intracerebral hemorrhage | Use for cerebral petechial hemorrhage confirmed by imaging. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for petechiae
Essential facts and insights about Petechiae
Primary ICD-10-CM Codes for petechiae
Decision Criteria
clinical Criteria
- Isolated petechiae with normal platelet count
coding Criteria
- No underlying systemic condition
Applicable To
- Petechiae
Excludes
- Purpura (D69.-)
Clinical Validation Requirements
- Platelet count >150,000/µL
- Negative D-dimer
- No coagulopathy
Code-Specific Risks
- Using R23.3 with thrombocytopenia or sepsis
Coding Notes
- Ensure documentation specifies the absence of underlying conditions.
D69.3 - Immune thrombocytopenic purpura
Use when petechiae are associated with low platelet count and no known cause.
Applicable To
- ITP
Excludes
- Drug-induced thrombocytopenia (D69.51)
Clinical Validation Requirements
- Platelet count <100,000/µL
- Exclusion of drug-induced causes
Coding Notes
Document platelet counts and exclusion of other causes.
I61.8 - Other intracerebral hemorrhage
Use for cerebral petechial hemorrhage confirmed by imaging.
Applicable To
- Cerebral petechial hemorrhage
Excludes
- Non-cerebral petechiae (R23.3)
Clinical Validation Requirements
- CT/MRI showing petechial hemorrhage
- Neurologic deficits
Coding Notes
Ensure imaging confirms cerebral involvement.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Sepsis, unspecified organism
A41.9Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Petechiae to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R23.3.
Impact
Clinical: Misdiagnosis of underlying conditions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Always include lab results in patient records, Use templates that prompt for lab values
Impact
Reimbursement: Incorrect coding may lead to denial of claims., Compliance: Non-compliance with coding standards., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Use D69.3 or D69.6 when thrombocytopenia is present.
Impact
Incorrect use of R23.3 when thrombocytopenia is present.
Mitigation Strategy
Verify platelet counts and use D69.3 or D69.6 as appropriate.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Petechiae, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Petechiae
Use these documentation templates to ensure complete and accurate documentation for Petechiae. These templates include all required elements for proper coding and billing.
Petechiae in a febrile child
Specialty: PediatricsRequired Elements
- Fever documentation
- Petechiae distribution
- Platelet count
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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